Organization Active NPI

Physiocore Fitness & Rehab., Inc.

  • Orthopedic Physical Therapist
  • Coral Gables, FL
National Provider Identifier
1972719128
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
18986 Issued in GA
Legal business name
PHYSIOCORE FITNESS & REHAB., INC.
Practice address
1565 Sunset Drive
Coral Gables, FL 11343-5642
Phone
(786) 271-3033
Fax
(305) 668-9109
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Dorys Herrera, P.T.NPI 1487860961
Title
President
Phone
(305) 668-9108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 18986 FL
Neurology Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251N0400X 18986 FL
Sports Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251S0007X 18986 FL
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X 18986 GA Primary

Addresses

Primary practice location

1565 Sunset Drive
Coral Gables, FL 11343-5642

Mailing address

1565 Sunset Drive
Coral Gables, FL 33143-5528
Phone (305) 668-9108

Other identifiers 1

IdentifierTypeStateIssuer
18986OtherFLPHYSICAL THERAPIST

National Provider Directory

National Provider Directory

Locations

1565 Sunset Dr
Coral Gables, FL 33143
Phone (305) 667-2597

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1972719128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 SUNSET DRIVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331435528",
            "telephone_number": "305-668-9108",
            "fax_number": "305-668-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 SUNSET DRIVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "113435642",
            "telephone_number": "786-271-3033",
            "fax_number": "305-668-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOCORE FITNESS & REHAB., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "DORYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-668-9108",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "18986",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": "FL",
            "license": "18986",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "18986",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "18986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST",
            "identifier": "18986",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.